Organization
ELITE SMILES LITTLE CHUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KATZENMAIER (PRACTICE MANAGER)
(920) 733-4787
Entity
Organization
Contact information
Practice address
119 E MAIN ST, LITTLE CHUTE, WI 54140-1850
(920) 735-9366
Mailing address
119 E MAIN ST, LITTLE CHUTE, WI 54140-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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